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General NPI Number Information
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NPI Number | 1144658923
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Entity Type | Organization
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Legal Business Name | CONIFER COUNSELING AND THERAPY SERVICES, INC
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Dates
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Enumeration Date | 10/14/2013
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 12424 BIG TIMBER DR UNIT 3
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City | CONIFER
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State | CO
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Zip | 80433-6410
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Country | US
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Telephone | 720-722-0122
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 102
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City | CONIFER
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State | CO
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Zip | 80433-0102
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Country | US
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Telephone | 720-722-0122
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARA PETERSON
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Credential | LPC
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Telephone | 720-722-1577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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